EUS在消化疾病中的应用PPT课件.ppt

超声内镜在消化系疾病诊断和鉴别诊断中的应用;超声内镜发展史;EUS诊断;构 成;超声内镜类型;超声内镜在临床中的应用;癌症分期 Cancer staging;正常胃壁的超声图像特征;胃溃疡;;早期胃癌超声内镜的检查;进展期胃癌的EUS声像图特点;Borrmann IV型胃癌;术前T、N分期;EUS staging;EUS staging;No. Author Year of No. of Type of Confirmatory publication patients study procedure 1 Grimm et al 1993 147 Prospective Surgery 2 Francois et al 1996 29 Consecutive Surgery 3 Schimizu et al 1994 125 Consecutive Surgery 4 Dittler et al 1993 254 Consecutive Surgery 5 Ziegler et al 1993 118 Prospective Surgery 6 Botet et al 1991 50 Prospective Surgery 7 Xi et al 2003 35 Prospective Surgery 8 Caletti et al 1991 42 Prospective Surgery 9 Akahoshi et al 1989 74 Prospective Surgery 10 Tio et al 1989 72 Prospective Surgery 11 Massari et al 1996 99 Prospective Surgery 12 Saito et al 1991 110 Prospective Surgery 13 Murata et al 1988 146 Prospective Surgery 14 Hunerbein et al 1996 19 Consecutive Surgery 15 Perng et al 1996 69 Consecutive Surgery 16 Tio et al 1989 75 Prospective Surgery 17 Tio et al 1986 36 Prospective Surgery 18 Shimoyama et al 2004 45 Consecutive Surgery 19 Willis et al 2000 116 Consecutive Surgery 20 Rosch et al 1992 41 Consecutive Surgery 21 Javaid et al 2003 112 Consecutive Surgery 22 Potrc et al 2006 82 Prospective Surgery ;22项研究，1896名患者术前T、N分期分析;EUS与CT检查比较;EUS与CT对胃癌术前分期的准确性比较;对远处转移的判断;EUS对胃癌伴腹水及腹腔转移的诊断;间质瘤;;Relative malignancy risks associated with each of EUS characteristics of submucosal tumors;病例;;病例;病例;胃底静脉曲张;EUS引导下治疗血管病变;胃异位胰腺;巨大胃粘膜肥厚症;外来压迫;EUS胰腺疾病诊断中的应用;胰腺癌;可疑胰腺癌的处理;胰腺癌的EUS表现;;EUS与其它方法检测胰腺癌敏感度比较;超声内镜引导下细针穿刺;A 胰体胰管扩张 B 胰体内有一囊性病灶，与胰管交通 C 经胃壁细针穿刺